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基于数据挖掘的名医名家辨证论治血脂异常规律研究

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目的:系统梳理名医名家治疗血脂异常的临床经验,建立血脂异常数据库并进行挖掘,探求名医名家治疗血脂异常的辨证特色及组方用药规律。方法:检索中国知网、万方、维普、中国生物医学文献数据库自建库至2024年2月收录的名医名家治疗血脂异常相关文献,建立数据库,利用古今医案云平台V2。3。5进行证型、治法、中药频次、性味归经及关联规则分析。结果:数据挖掘结果显示,血脂异常以痰瘀互结证、肝郁脾虚证、痰湿中阻证、脾虚痰湿证、肝肾亏虚证多见;病位主要在脾、肝、肾;病性以痰、血瘀、气虚为多;治疗以祛痰化瘀法、补脾益气法为主。名医名家治疗血脂异常共涉及用药230味,使用频率≥20%的药物共12味,依次为泽泻、山楂、茯苓、白术、丹参、陈皮、决明子、郁金、川芎、荷叶、黄芪、柴胡。以活血化瘀药、利水消肿药和补气药使用最多;药性以温性居多;药味以甘、苦、辛居多;关联规则显示了6个高频中药组合:山楂-泽泻、茯苓-泽泻、白术-茯苓、白术-泽泻、决明子-泽泻、丹参-泽泻。结论:名医名家认为血脂异常病机总属虚实夹杂,以脾虚为本、痰瘀互结为标,在治疗时以"祛痰化瘀、补脾益气"为核心,补泻兼施,标本同治。
Research on Rules of Prescription of Dyslipidemia Based on Data Mining
Objective:To probe the experience of experts in treating dyslipidemia in traditional Chinese medicine(TCM) and establish a database of dyslipidemia,and to explore the rules of diagnosis and prescription of experts for treating dyslipidemia.Methods:CNKI,WanFang,VIP,and China Biology Medicine Disc were searched for the literatures of the treatment of dyslipidemia by renowned physicians and famous physicians from the establishment of the database to February 2024.A database was established that included information of syndromes,therapies,prescriptions in TCM,and the Ancient and Modern Medical Cases Cloud Platform V2.3.5 was used to analyze the syndrome type,treatment method,frequency of traditional Chinese medicine,nature,taste,and meridian tropism,and association rules. Results:Dyslipidemia was mainly classified into syndromes including sputum congestion and blood stasis,disharmony of liver and spleen,obstruction of sputum,deficiency of spleen and sputum congestion,and deficiency of liver and kidney. Spleen,liver,and kidney were mainly affected.Sputum congestion,blood stasis,and deficiency of Qi were main contributing factors. Therapies included expectoration of phlegm and removal of blood stasis,and tonification of the spleen and revitalisation of Qi.Two hundred and thirty herbs were involved in this study,with a total frequency of 1405.Twelve herbs were used with a frequency beyond≥20%,including Zexie,Shanzha,Fuling,Baizhu,Danshen,Chenpi,Juemingzi,Yujin,Chuanxiong,Heye,Huangqi,and Chaihu.The most commonly used drugs were blood-activating and blood-stasis removing drugs,water-promoting and detumescence drugs,and invigorating Qi drugs.Most of the properties were warm. The flavor of the medicine was sweet,bitter,and spicy. The rules of association analysis showed six high-frequency combinations including:Shanzha-Zexie,Fuling-Zexie,Baizhu-Fuling,Baizhu-Zexie,Juemingzi-Zexie,and Danshen-Zexie.Conclusion:Famous physicians and experts believe that the pathogenesis of dyslipidemia is a mixture of asthenia and sthenia,with spleen deficiency as the basis and phlegm and blood stasis as the symptoms.Key point of the treatment is to "dispel phlegm and eliminate blood stasis,tonify the spleen and benefit the Qi".Tonification and undermining are simultaneously applied to treat the symptoms and the basis at the same time.

dyslipidemiatraditional Chinese medicinerenowned physiciansdata mining

胡岚清、刘龙涛

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中医证候全国重点实验室,国家中医心血管病临床医学研究中心,中国中医科学院西苑医院 北京 100091

血脂异常 中医 名医名家 数据挖掘

2024

中西医结合心脑血管病杂志
中国中西医结合学会 山西医科大学第一医院

中西医结合心脑血管病杂志

CSTPCD
影响因子:1.463
ISSN:1672-1349
年,卷(期):2024.22(24)